西藏自治区碘缺乏病监测结果分析  

Analysis on monitoring data of iodine deficient disorder in Tibet from 1997 to 2005

作　　者：郭敏[1] 何凤珍[1] 龚弘强[1] 旦增桑布[1] 尼玛仓决[1] 白玛央金[1] 

机构地区：[1]西藏自治区疾病预防控制中心,拉萨850032

出　　处：《医学动物防制》2011年第3期244-245,共2页Journal of Medical Pest Control

摘　　要：目的对西藏防治碘缺乏病实施"食盐加碘为主、投服碘油丸为辅"的综合措施以来的防治效果及存在问题做出分析和总结,为下一步采取防治措施提供科学依据。方法按容量比例概率抽样(PPS)抽取,对8～10岁儿童进行甲状腺触诊、B超检查,并采集尿样,采用砷铈催化分光光度测定方法采集家中用盐,直接滴定法测盐碘含量,并对学生和家庭主妇进行健康教育知识问卷调查。结果 8～10岁儿童甲状腺肿大率为11.5%,尿碘中位数从1997年的55.4μg/L上升至2005年的96.7μg/L;碘盐覆盖率从1997年的19.0%上升至2005年的33.2%。结论西藏自治区碘缺乏病综合防治措施已取得一定成效,但碘盐普及仍欠佳,健康教育工作有待提高。Objective To evaluate the control effect of comprehensive interventions which added salt in iodized and took iodinate oil to prevention and control iodine deficient disorder,summarize and analyze the problems in process,and provide scientific basis for further work.Method Used probability proportion to size（PPS）method,examined the children aged from 8 to 10 with thyroid gland palpate and B ultrasound,collected urine and examined by catalytic spectrophotometric method（WS/T 107-1999）,using direct titrimetric method to detect iodine in salt of family.Questionnaire investigation was taken to students and housewives.Results The children age from 8 to 10 years old,goiter rate was 11.5%,the medians of urinary iodine increased from 55.4μg/L in 1997 to 96.7μg/L in 2005,iodine nutrition was mild lack.Iodine salt coverage increased from 19.0% in 1997 to 33.2% in 2005.Conclusions The comprehensive intervention measures of iodine deficient disorder in Tibet had certain achievements,but iodine salt popularizes not enough and health education work needs to improve.

关 键 词：碘 碘缺乏病 监测 

分 类 号：R599.9[医药卫生—内科学]